Organised Multidisciplinary Team Care

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  • 7/29/2019 Organised Multidisciplinary Team Care

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    Organised multidisciplinary team care

    The following definition outlines the objectives as well as some of the challengesinvolved in achieving this component.

    "Multidisciplinary care when professionals from a range of disciplines work together to

    deliver comprehensive care that addresses as many of the patient's needs as possible.This can be delivered by a range of professionals functioning as a team under oneorganisational umbrella or by professionals from a range of organisations, includingprivate practice, brought together as a unique team. As a patient's condition changesover time, the composition of the team may change to reflect the changing clinical andpsychosocial needs of the patient."

    Mitchell, G.K., Tieman, J.J. & Shelby-James, T.M. (2008). Multidisciplinary careplanning and teamwork in primary care. MJA, 188(8), p.S63.

    A HealthOne NSW Multidisciplinary Team

    A multidisciplinary team involves a range of health professionals, from one or moreorganisations, working together to deliver comprehensive patient care. The idealmultidisciplinary team for the delivery of the HealthOne NSW Model of Care includes:

    General practitioners Practice nurses Community health nurses Allied health professionals (may be a mix of state funded community health and privateprofessionals) such as physiotherapists, occupational therapists, dietitians,

    psychologists, social workers, podiatrists and Aboriginal Health Workers Health educators - such as diabetes educatorsMultidisciplinary teams convey many benefits to both clients and the healthprofessionals working on the team, such as improved health outcomes and enhancedsatisfaction for clients; and the more efficient use of resources and enhanced jobsatisfaction for team members.

    To ensure optimum functioning of the team and effective patient outcomes, the roles ofthe multidisciplinary team members in care planning and delivery must be clearlynegotiated and defined (Mitchell et al 2008). This will require consideration of:

    respect and trust between team members the best use of the skill mix within the team what clinical governance structures need to be in place how communication and interaction will occur between team membersThese are complex issues and can involve significant change to work practices andorganisational arrangements and will require multifaceted implementation strategies(Mitchell et al 2008). These issues are further explored in the Workforce Developmentsection.

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    References of interest

    Dennis SM, Zwar N, Griffiths R, Roland M, Hasan I, Powell Davies G, Harris M.Chronic disease management in primary care: From evidence to policy. MedicalJournal of Australia. 2008 April 21; 188 (8 Suppl): S53-56.

    Mitchell, G.K., Tieman, J.J. & Shelby-James, T.M. (2008). Multidisciplinary care

    planning and teamwork in primary care. MJA, 188(8), S61-S64.

    Powell-Davies, G., Harris, M., Perkins, D., Roland, M., Williams, A., Larsen, K. &McDonald, J. (2006). Coordination of care within primary health care and with othersectors: A systematic review. Research Centre for Primary Health Care and Equity,School of Public Health and Community Medicine, UNSW.

    http://www0.health.nsw.gov.au/Initiatives/HealthOneNSW/framework/modelofcare/multidisci

    plinary_care.asp